Provider Demographics
NPI:1891817300
Name:DEER VALLEY UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DEER VALLEY UNIFIED SCHOOL DISTRICT
Other - Org Name:TERRAMAR SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-445-4943
Mailing Address - Street 1:20402 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-3636
Mailing Address - Country:US
Mailing Address - Phone:623-445-5000
Mailing Address - Fax:
Practice Address - Street 1:7000 W HAPPY VALLEY RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-3278
Practice Address - Country:US
Practice Address - Phone:623-445-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPL0702251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ595986OtherAHCCCS